Cost of a Colonoscopy Polyp Removal Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's predominantly rural healthcare landscape creates unique access patterns, with 61 active providers offering Colonoscopy Polyp Removal services across the state's vast geography. Patients typically pay between $80 and $1,090 for these procedures, with a median cost of $491 based on actual negotiated insurance rates. The concentration of specialists in Sioux Falls and Rapid City means many rural patients travel significant distances for care, though telehealth consultations are increasingly bridging this gap throughout South Dakota.
Average
$553
Median
$491
Lowest
$80
Highest
$1,090
Providers
61
26% below national average
Compare Similar Procedures
How does colonoscopy with polyp removal compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Colonoscopy Diagnostic colonoscopy | 45378 | $85 | $345 | $2,255 | 79 |
| Colonoscopy with Biopsy Colonoscopy with biopsy | 45380 | $80 | $389 | $1,035 | 66 |
| Upper Endoscopy (EGD) Diagnostic upper GI endoscopy | 43235 | $103 | $275 | $691 | 52 |
| Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy | 43239 | $85 | $332 | $2,396 | 77 |
| ECG / EKG 12-lead electrocardiogram with interpretation | 93000 | $26 | $26 | $26 | 328 |
| Echocardiogram Transthoracic echocardiogram with Doppler | 93306 | $67 | $169 | $460 | 73 |
| OB Ultrasound Obstetric ultrasound, complete | 76805 | $68 | $68 | $117 | 309 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 45385 — Colonoscopy with removal of polyps by snare). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 45385 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 45385 (Colonoscopy with removal of polyps by snare), as mandated by the CMS Price Transparency Rule.
What CPT 45385 covers: the provider's professional fee for colonoscopy with polyp removal. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Colonoscopy Polyp Removal Visit Costs Vary Across South Dakota
South Dakota's healthcare costs run approximately 3% above national averages despite the state's lower overall cost of living, largely due to limited provider competition and the challenges of serving a geographically dispersed population. The state's rural nature means many specialists cluster in Sioux Falls and Rapid City, creating travel barriers and pricing premiums in underserved areas.
Urban vs. Rural Provider Availability
The majority of South Dakota's 61 Colonoscopy Polyp Removal providers practice in Sioux Falls, Rapid City, and a few other regional centers, leaving vast rural areas underserved. Patients in counties like Harding, Jones, or Mellette may need to travel 200+ miles for specialized care, often adding lodging and travel costs to their medical expenses. This geographic concentration allows urban providers to maintain higher pricing due to limited competition.
Facility Type and Overhead Costs
Hospital-based outpatient clinics affiliated with major systems like Sanford Health and Avera typically charge higher facility fees than independent surgery centers. Many South Dakota hospitals serve as critical access facilities with higher overhead costs per procedure due to lower patient volumes. The state's requirement for standby emergency services and specialized equipment drives up operational costs even for routine outpatient procedures.
Insurance Market Competition in South Dakota
Wellmark BCBS dominates the individual market while Sanford Health Plan leverages its integrated delivery system to offer competitive rates within its network. UnitedHealthcare and a few smaller insurers provide limited additional competition, particularly in rural markets where provider networks may be restricted to a single health system. This concentrated market structure can limit patients' negotiating power and maintain higher reimbursement rates for providers.
Physician Supply and Demand in South Dakota
With 61 active providers serving a population of nearly 900,000, South Dakota maintains adequate specialist density in urban areas but significant shortages in rural regions. The state's medical schools and residency programs struggle to retain graduates, with many leaving for higher-paying opportunities in neighboring states. This supply constraint allows established providers to maintain premium pricing, particularly for complex procedures requiring specialized training.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Colonoscopy Polyp Removal Costs in South Dakota
What is the average cost of a Colonoscopy Polyp Removal visit in South Dakota without insurance?
Does South Dakota Medicaid cover Colonoscopy Polyp Removal visits?
How do I find an affordable Colonoscopy Polyp Removal near me in South Dakota?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Colonoscopy Polyp Removal visit in South Dakota?
How does telemedicine affect the cost of seeing a Colonoscopy Polyp Removal in South Dakota?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 45385)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $81 – $5,357 | $2,018 |
| 2 | Washington Range: $80 – $3,638 | $1,402 |
| 3 | Oregon Range: $80 – $3,638 | $1,391 |
| 4 | Idaho Range: $80 – $3,638 | $1,373 |
| 5 | Alaska Range: $80 – $3,638 | $1,266 |
| 6 | Montana Range: $80 – $3,638 | $1,266 |
| 7 | Massachusetts Range: $80 – $2,338 | $1,051 |
| 8 | New York Range: $276 – $2,338 | $1,041 |
| 9 | Rhode Island Range: $80 – $2,338 | $1,031 |
| 10 | Connecticut Range: $213 – $2,338 | $1,026 |
| 11 | North Dakota Range: $80 – $2,334 | $976 |
| 12 | Pennsylvania Range: $80 – $2,338 | $962 |
| 13 | Delaware Range: $80 – $2,338 | $958 |
| 14 | Minnesota Range: $80 – $1,954 | $879 |
| 15 | New Hampshire Range: $457 – $1,285 | $866 |
| 16 | Wyoming Range: $332 – $1,540 | $808 |
| 17 | Nebraska Range: $360 – $1,090 | $799 |
| 18 | Hawaii Range: $80 – $1,785 | $773 |
| 19 | Maine Range: $494 – $926 | $763 |
| 20 | California Range: $30 – $1,785 | $756 |
| 21 | Iowa Range: $95 – $1,197 | $726 |
| 22 | District of Columbia Range: $212 – $1,372 | $726 |
| 23 | Georgia Range: $225 – $1,310 | $723 |
| 24 | New Mexico Range: $265 – $1,278 | $696 |
| 25 | North Carolina Range: $80 – $1,433 | $685 |
| 26 | New Jersey Range: $151 – $1,496 | $684 |
| 27 | West Virginia Range: $98 – $1,538 | $682 |
| 28 | Vermont Range: $333 – $1,096 | $661 |
| 29 | Utah Range: $80 – $1,090 | $630 |
| 30 | Colorado Range: $85 – $1,282 | $611 |
| 31 | Indiana Range: $80 – $1,197 | $596 |
| 32 | Kentucky Range: $202 – $1,136 | $586 |
| 33 | Missouri Range: $239 – $853 | $564 |
| 34 | South Dakota Range: $80 – $1,090 | $553 |
| 35 | Maryland Range: $226 – $1,002 | $550 |
| 36 | Michigan Range: $80 – $1,088 | $545 |
| 37 | Illinois Range: $220 – $944 | $542 |
| 38 | Louisiana Range: $197 – $918 | $514 |
| 39 | Mississippi Range: $209 – $963 | $514 |
| 40 | Nevada Range: $320 – $740 | $504 |
| 41 | South Carolina Range: $80 – $936 | $477 |
| 42 | Virginia Range: $98 – $916 | $471 |
| 43 | Arkansas Range: $85 – $853 | $464 |
| 44 | Alabama Range: $80 – $870 | $454 |
| 45 | Texas Range: $90 – $866 | $453 |
| 46 | Kansas Range: $239 – $713 | $451 |
| 47 | Ohio Range: $191 – $751 | $450 |
| 48 | Arizona Range: $213 – $715 | $432 |
| 49 | Tennessee Range: $90 – $796 | $428 |
| 50 | Florida Range: $35 – $815 | $302 |
| 51 | Oklahoma Range: $85 – $646 | $272 |